| Regimental number | 5123 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Lcather dresser |
| Address | 289 Lennox Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Annie Hawksworth, 289 Lennox Street, Richmond, Melbourne, Victoria |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 4 June 1919 |
